Sjaastad O, Bovim G, Stovner L J
Department of Neurology, Regionsykehuset i Trondheim, Trondheim University Hospital, Norway.
Funct Neurol. 1993 Jan-Feb;8(1):27-32.
In classical migraine ("migraine with aura"), the attack pain is usually initially felt in the oculo-fronto-temporal area (around 90% of the cases). A fronto-temporal onset of pain is in other words a typical trait of classic migraine. The initial location of pain in common migraine ("migraine without aura") is not so well known. In the present study, 32 migraine patients and 29 cervicogenic headache patients were compared as for localization of pain onset. Twenty-four of 32 migraine patients (75%) felt the initial pain in the oculo-fronto-temporal area; in 28 of 32 cases the onset was in the "anterior" parts (88%). The corresponding figures in the cervicogenic group were: 5 of 29 (17%) and 6 of 29 (21%) respectively. There is thus a clear-cut difference between the two groups in this respect. The initial localization of pain can probably also be used for diagnostic purposes. The similarity between classic and common migraine in this respect is striking.
在典型偏头痛（“有先兆偏头痛”）中，发作性疼痛通常最初出现在眼额颞区（约90%的病例）。换句话说，额颞部疼痛发作是典型偏头痛的一个典型特征。普通偏头痛（“无先兆偏头痛”）疼痛的初始部位并不为人熟知。在本研究中，对32例偏头痛患者和29例颈源性头痛患者的疼痛起始部位进行了比较。32例偏头痛患者中有24例（75%）最初在眼额颞区感到疼痛；32例中有28例（88%）疼痛发作于“前部”。颈源性头痛组的相应数字分别为：29例中的5例（17%）和29例中的6例（21%）。因此，两组在这方面存在明显差异。疼痛的初始定位可能也可用于诊断目的。在这方面，典型偏头痛和普通偏头痛之间的相似性很显著。
